| NPI | 1821540683 |
|---|---|
| Former Name | ANGELA GOOTEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 3668) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9109933) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2021-01-27 |